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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153806029
Report Date: 07/19/2022
Date Signed: 07/20/2022 09:14:37 AM


Document Has Been Signed on 07/20/2022 09:14 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:PARRA FAMILY CHILD CAREFACILITY NUMBER:
153806029
ADMINISTRATOR:PARRA, ELVIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 489-2945
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY:14CENSUS: DATE:
07/19/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:14 PM
MET WITH:TIME COMPLETED:
02:05 PM
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 On 07/19/2022, at 01:14 p.m. Licensing Program Analysts (LPA) Esequiel Rodriguez conducted an unannounced annual inspection at the Family Child Care Home to assess the Facility operation of their program and current physical plant status. Also, to evaluate the Facility's continuing ability to meet compliance with California Code of Regulations (CCR) Title 22, Health and Safety requirements, and other applicable State and Licensing Statutory requirements. LPA Rodriguez knock at the door, but no one answered. The LPA called the listed phone number to no avail. The LPA left a message and requested for a call back. The LPA waited a reasonable time (15-25 minutes) for some one to open the door or to call back, but no one did.

There was a vehicle parked in the drive way. The front yard is properly maintain and the outside of the home is clean and presentable. It appeared that some one was in the home, but did not answered the door. The LPA left a business card urging the Licensee to call back.

This report was finally recorded for filing and file update purposes.
SUPERVISOR'S NAME: Scott HerringTELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel RodriguezTELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:
DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/19/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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